More than 60% of those affected are aged between 21 and 50 years, but disproportionately 40% of deaths are in the over 60 years age group. 2 The World Health Organization has confirmed the local transmission of the virus in Bangladesh. Approximately 1 million Rohingya refugees fled from Myanmar and have been crammed into 34 refugee camps in the Cox's Bazar area since 2017. Food and water are not sufficient, and sanitation and health facilities are poor. An ideal environment for the virus to spread exists in these densely populated camps as the 40 000 refugees per square kilometer make it impossible to maintain social distancing. 3 Patients with diabetes, cardiovascular diseases, or asthma have a greater comorbidity rate compared with others. 4 More than 40% of the Rohingya refugee community are between 18 to 59 years old. 5 A high proportion of Rohingya people are suffering from noncommunicable diseases. Fear and misinformation about coronavirus disease 2019 (COVID-19) may make the situation worse in the camps due to the current telecommunication blockage, minimal Internet access inside the camp area, and illiteracy of the Rohingya people. The most worrying public health issues are food safety and shortages, and overall security. More than half of the Rohingya population face water supply shortages, and >30% of households do not have even access to soap. The shortage of food may reduce immunity against the virus, especially for women and children. In the Cox's Bazar district, the only test facility is currently provided by the Cox's Bazar Medical College, and it is unrealistic that Rohingya people will have easy access to testing and treatment facilities. Collaboration in overcoming these shortages is needed between the leadership of the local authority, the office of the Refugee Relief & Repatriation Commissioner, the Water Sanitation and Hygiene programs of United Nations High Commissioner for Refugees, and local health sectors. Infection prevention and control training and provision of personal protection equipment are required for health care workers. Food and portable water distribution systems need to be greatly improved, and the camps should be reconfigured to avoid crowding. Health workers need to identify pregnant, elderly, and comorbid patients so their special needs can be met. Isolation of cases and tracing of contacts would be the best response, although very difficult given the physical circumstances of the camps. It is important to undertake these public efforts as continuing COVID-19 infections among the Rohingya population may make it difficult to control the virus throughout Bangladesh. Declaration of Conflicting Interests The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.